Provider Demographics
NPI:1497584684
Name:SLK MANAGEMENT SERVICES LLC
Entity type:Organization
Organization Name:SLK MANAGEMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:205-370-7859
Mailing Address - Street 1:5137 HOLLOW LOG LN
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1925
Mailing Address - Country:US
Mailing Address - Phone:205-370-7859
Mailing Address - Fax:
Practice Address - Street 1:5502 CALDWELL MILL RD STE A
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-4546
Practice Address - Country:US
Practice Address - Phone:205-370-7859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)